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DR. JOSE P. HERNANDEZ-GALA M.D.
NPI 1366536799
Specialist in Miami, FL

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
1235 SW 27 AVENUE, MIAMI, FL 33135(305) 642-4680(305) 642-4773 Get Directions Write a Review

NPPES record last updated: December 18, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jose P. Hernandez-gala M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSE P. HERNANDEZ-GALA M.D. (NPI 1366536799) is an individual specialist in Miami, Florida, licensed in Florida (0026136) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1970).

NPPES Registry Identity

NPI1366536799
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JOSE P. HERNANDEZ-GALACredential: M.D.
Location Address1235 SW 27 AVENUEMiami, FL 33135
Mailing Address539 Nw 130 AvenueMiami, FL 33182 · (305) 642-4680 · Fax (305) 642-4773
Phone(305) 642-4680
Fax(305) 642-4773
Sole ProprietorYes
Medical School CMSOtherGraduated 1970
Enumeration DateOctober 2, 2006
Last NPPES UpdateDecember 18, 2009
✔ NPI 1366536799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · 0026136
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1235 SW 27 AVENUE, Miami, FL 33135
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Other Identifiers 3

Medicaid059388500FL
Medicare ID-Type Unspecified79008FL
Medicare UPIND58612FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jose P. Hernandez-gala M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668551706
PECOS Enrollment IDI20080430000899
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
94 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services15 patients

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers25 claims70 services$6.82 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier11 claims11 services$2.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers17 claims27 services$1.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Hernandez-gala's NPI number?

The NPI number for Jose Hernandez-gala is 1366536799. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Jose Hernandez-gala located?

Jose Hernandez-gala practices at 1235 SW 27 Avenue, Miami, FL 33135. The listed phone number is (305) 642-4680.

What is Jose Hernandez-gala's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jose Hernandez-gala enrolled in Medicare?

Yes. Jose Hernandez-gala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jose Hernandez-gala accept?

Health plans from Oscar Health Maintenance Organization of Florida list Jose Hernandez-gala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jose Hernandez-gala was last updated on December 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.